Expression and function of long non-coding RNAs in head and neck squamous cell carcinoma

Expression and function of long non-coding RNAs in head and neck squamous cell carcinoma

Experimental and Molecular Pathology 112 (2020) 104353 Contents lists available at ScienceDirect Experimental and Molecular Pathology journal homepa...

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Experimental and Molecular Pathology 112 (2020) 104353

Contents lists available at ScienceDirect

Experimental and Molecular Pathology journal homepage: www.elsevier.com/locate/yexmp

Review

Expression and function of long non-coding RNAs in head and neck squamous cell carcinoma Soudeh Ghafouri-Farda, Hossein Mohammad-Rahimib, Marzieh Jazaeric, Mohammad Taherid,

T ⁎

a

Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran c School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran d Urogenital Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran b

ARTICLE INFO

ABSTRACT

Keywords: Long non-coding RNA Head and neck squamous cell carcinoma

No longer regarded as junk DNA, long non-coding RNAs (lncRNAs) are considered as master regulators of cancer development and metastasis nowadays. Among the recently appreciated roles of these transcripts is their fundamental contribution in the pathogenesis of head and neck squamous cell carcinoma (HNSCC). Notably, lncRNAs may have interactions with some environmental risk factors for this type of cancer. Moreover, a number of studies have verified diagnostic and prognostic values of lncRNAs in HNSCC. Emerging evidences from functional studies point to the possibility of design of lncRNA-targeted therapies in HNSCC. In the current review, we discuss the molecular mechanisms for participation of lncRNAs in the pathogenesis of HNSCC, their potential application in cancer diagnosis and most importantly in the development of personalized methods for treatment of HNSCC.

1. Introduction Head and neck squamous cell carcinoma (HNSCC) has an annual rate of 500,000 new cases worldwide (Torre et al., 2015). This type of cancer originates from various anatomic sites including oral cavity, oropharynx, hypopharynx, larynx, nasopharynx, palatine, and lingual tonsils (Marur and Forastiere, 2016a). HNSCC has been associated with some environmental/ life style risk factors including tobacco smoking, alcohol use, and viral infections (Marur and Forastiere, 2008; Sturgis and Cinciripini, 2007). Notably, human papillomavirus (HPV) is regarded as a risk factor for development of oropharyngeal cancer (Sturgis and Cinciripini, 2007). Surgery or radiotherapy, combination of surgery with adjuvant radiation or chemoradiation, and chemotherapy with or without a biological drug are recommended for early stage, locally advanced and metastatic disease, respectively (Marur and Forastiere, 2016b). Based on such trend in the complexity of treatment modalities as the disease progresses, early detection of HNSCC has clinical importance. For such purpose, identification of molecular pathways which are involved in each step of cancer progression is a critical necessity. Recent studies have highlighted the role of a group of transcripts namely long non-coding RNAs (lncRNAs) in the pathogenesis of diverse cancers including HNSCC (Guglas et al., 2017). This group of transcripts has no obvious open reading frame to produce



functional proteins, yet regulating gene expression at several levels and are implicated in the evolution and progression of human cancers (Sanchez Calle et al., 2018). A well-known mechanism for their involvement in the pathogenesis of cancer is their function as miRNAs sponges to decline effects of miRNAs on the mRNAs (Deng et al., 2015). LncRNAs participating in the carcinogenesis process were mainly associated with cellular macromolecules such as chromatin, protein and other types of RNA molecules (Huarte, 2015; Zhang et al., 2019b). Fig. 1 depicts a summary of cellular pathways influenced by lncRNAs in HNSCC. In the present review, we summarize recent findings regarding the role of lncRNAs in the pathogenesis of HNSCC. 2. Expression of lncRNAs in HNSCC LncRNAs can be classified to oncogenic and tumor suppressor transcripts based on their expression pattern in tumoral tissues versus non-tumoral tissues of the same origin and functions in regulation of cell cycle, apoptosis and cell proliferation. Several studies have shown up-regulation of numerous lncRNAs in cell lines or patients’ sample of HNSCC origin. Table 1 summarizes the information about these upregulated lncRNAs which are putative oncogenic lncRNAs. The mostly assessed lncRNA in HNSCC is MALAT1. Several studies have reported

Corresponding author. E-mail address: [email protected] (M. Taheri).

https://doi.org/10.1016/j.yexmp.2019.104353 Received 12 October 2019; Received in revised form 25 November 2019; Accepted 4 December 2019 Available online 05 December 2019 0014-4800/ © 2019 Elsevier Inc. All rights reserved.

Experimental and Molecular Pathology 112 (2020) 104353

S. Ghafouri-Fard, et al.

Fig. 1. (A) GAS5 acts as a tumor suppressor in Oral SCC. This lncRNA exerts its function through suppression of miR-21 and subsequent up-regulation of PTEN (Zeng et al., 2019). Reduced level of GAS5 leads to increased levels of miR-21 and inhibition of PTEN. (B) LncRNA PTCSC3 suppresses cell proliferation in laryngeal SCC through down-regulation of lncRNA HOTAIR. This effect is probably exerted through down-regulation of STAT3 (Xiao et al., 2019a). (C) Overexpression of the lncRNA MORT suppresses oral SCC cell proliferation by down-regulating ROCK1 (Jin et al., 2019). (D) NKILA suppresses the epithelial-mesenchymal transition (EMT) process through obstruction of the phosphorylation of IκBα and NF-κB induction (Huang et al., 2016).

up-regulation of this lncRNA in oral SCC samples and verified its role in enhancement of cell proliferation, anchorage-independent growth and migration as well as inhibition of apoptosis. Higher levels of this lncRNA have been associated with lymph node metastasis and poor survival of cancer patients (Han et al., 2019; Fang et al., 2016). Consistent with the acknowledged competing endogenous (ce) RNA role for lncRNAs, functional assays have identified several lncRNA-miRNA pairs whose interactions alter the carcinogenesis process. Besides, aberrant expression of lncRNAs has been associated with dysregulation of Wnt/ β-catenin, PI3K/Akt and NF-κB signaling pathways in cancerous tissues. A number of lncRNAs have been shown to be down-regulated in HNSCC samples and cell lines compared with non-cancerous cells (Table 2). Generally, down-regulation of these lncRNAs has been associated with poor survival of cancer patients. These lncRNAs are also involved in the regulation of cell cycle progression, cell proliferation and apoptosis. Among the most evaluated tumor suppressor lncRNAs are CASC2 and MEG3. A recent study has shown down-regulation of CASC2 in oral SCC samples in association with adverse clinicopathological features. Functional studies have shown that forced overexpression of this lncRNA suppresses cell proliferation partially via enhancement of cell apoptosis and induction of cell cycle arrest. Notably, CASC2 is regarded as a ceRNA for miR-21 to stimulate expression of PDCD4. Tumor suppressor role of this lncRNA has been verified in vivo as well (Pan et al., 2019). MEG3 is another tumor suppressor lncRNA that suppresses cell proliferation, migration and invasion of SCC cells. Function of this lncRNA is exerted at least partly through

sponging miR-4261. The role of MEG3 in suppression of tumor growth has been also verified in animal models (Ma et al., 2019). 3. Correlations between lncRNAs and viral infections in HNSCC Nohata et al. have identified 140 lncRNAs with differential expression between HPV positive tumors and HPV negative ones (Nohata et al., 2016). Ma et al. have shown higher numbers of myeloid-derived suppressor cells (MDSCs) in HPV-positive HNSCC compared with normal controls. Moreover, they have reported 132 distinct lncRNAs in diverse HPV infected states of HNSCC. Notably, HOTAIR, PROM1, CCAT1, and MUC19 levels have been inversely correlated with aggregation of MDSCs in HPV-associated HNSCC (Ma et al., 2017a). 4. Prognostic value of lncRNAs in HNSCC Recently, Yang et al. have proposed a panel of lncRNAs which could predict survival prognosis of HNSCC patients through assessment of RNA-seq data of 269 patients. This panel included AC010624.1, AC130456.4, LINC00608, LINC01300, MIR99AHG, AC008655.1, AC055758.2, and AC118553.1 (Yang et al., 2019a). Another study has evaluated lncRNA expression data in 425 HNSCC patients and reported that three lncRNAs (AC002066.1, AC013652.1 and AC016629.3) were significantly associated with survival in an independent manner from clinical features (Wang et al., 2018a). Nohata et al. have assessed RNAseq data of 426 HNSCC and 42 adjacent normal tissues and have 2

3

Laryngeal SCC

Oral SCC

Tongue SCC

Oral SCC

MIR155HG

CRNDE

LINC00511

FLJ22447

54 OSCC tumor samples; SPF grade Nu/Nu nude mice

72 tumor tissues and ANTs

Human HNSCC Specimens, 4week-old BALB/c-nu mice

30 paired cancer specimens and ANTs

Tongue SCC

HNSCC

Tongue SCC

32 TSCC and paired ANTs

SCC specimens from 52 patients and normal oral mucosa tissue specimens from 25 healthy individuals, BALB/ c-nu mice SCC tissues and corresponding ANTs from 20 patients 10 paired ANTs and tumor tissues; BALB/c-nu/nu T celldeficient mice 41 HNSCC samples from different anatomical sites and peripheral blood sample 94 TSCC tissue specimens and matched ANTs 127 TSCC samples, ANTs and lymph node metastases (if exist), Six-week-old male nude mice 14 OSCC and ANT pairs

30 tumor tissues and paired ANTs 58 patients, 30 specific pathogen free male BALB/c nude mice Tumor samples and ANTs from 45 patients

60 oral SCC specimens and 8 ANTs 60 oral cancer and 8 normal tissue samples OSCC tissues samples and ANTs from 48 patients

Samples

Oral SCC

Oral SCC

Tongue SCC

Tongue SCC

Tongue SCC

Oral SCC

LINC01116

MALAT-1

Tongue SCC

RP5-916L7.2

Tongue SCC

Oral SCC

PLAC2

UCA1

Oral SCC

CCAT1

HNSCC

Oral SCC

Linc-RoR

H19

Cancer subtype

Gene

CAL-27, SCC-9, SCC-4, SCC-15 and SCC-25

SCC15, SCC25, CAL27, HaCaT

SCC4, SCC15, SCC25, Hs 680.Tg

Tca8113, SCC-25, CAL-27, HN5, Hs680.Tg Tscca, Tca8113P160, Tca8113 and Hep-2

SCC-9 and CAL-27

STAT3, miR-30a, E-cadherin, N-cadherin, vimentin, Twist and MMP2/9 miR-124, JAG1

Ki67, MMP2/9, N-cadherin, Vimentin, E-cadherin, βcatenin, NF-κB MMP-9, Akt (phosphorylation), MEG3

miR-125b, STAT3

BAX, vimentin, E-cadherin, DKK1

SPRR1B, SPRR2A, SPRR2E, LAYN, CCT4, CTHRC1, and FHL1

CAL27 and SCC-25

SSC4

MALAT-1, MEG3

IGF2, CCCTC-binding factor, p57KIP2

IL-33

miR-765, LAMC2

E-cadherin, p-GSK-3β, βcatenin, N-cadheri, vimentin and Snail protein

miR-155-5p

miR-136

miR-328-5p and miR-939-5p

p53, c-Myc, Klf4, Oct4, Sox2, miR-145-5p c-Myc, miR155-5, let7b-5p, miR218-5, miR490-3p H3K27ac

Gene interaction

Tca8113

-

HOEC cells, Tca-8113, SCC-9, SCC-4 and CAL-27 HSC-3

Immortalized HOK cells, Tca8113, SCC-9, TSCCA, CAL27 and SCC-15

TU686, TU177, AMC-HN-8, 293T cells

SciL-0682, Tca83, TSCC, NB, NT

Tca-8113

SCC-9, CAL-27

-

Assessed cell line

Table 1 Function of up-regulated lncRNAs in HNSCC (ANT: adjacent normal tissue, EMT: epithelial-mesenchymal transition).

MALAT1/miR-124/JAG1

STAT3/malat1/miR-30a

PI3K/Akt

β-catenin and NF-κB

MALAT1/miR-125b/STAT3

Wnt/b-catenin

-

-

-

-

LINC00511/miR-765/ LAMC2 LncRNA-CAF/IL-33

Wnt/β-catenin

miR-155-5p/SOX10

LINC01116/miR-136/FN1

-

Wnt/β-catenin

P53 signal pathway

Signaling pathways

-

Poor Prognosis

Poorer overall survival

Poor prognosis

-

-

-

Lymph node metastasis -

Tumor recurrence

Poor prognosis

-

Poor prognosis, lymph node metastasis Poor prognosis

Poor prognosis

Poor prognosis, tumor size, TNM stage -

Poor prognosis

-

Association with patient outcome

(Zhang et al., 2017)

(Wang et al., 2018d)

(Yuan et al., 2019b)

(Chang and Hu, 2017) (Zhou et al., 2015)

(Liang et al., 2017a)

(Han et al., 2019)

(Fang et al., 2014) (Fang et al., 2016)

(Esteves et al., 2005)

(Ding et al., 2018a) (Ding et al., 2018b)

(Dai et al., 2019)

(Cui et al., 2019a)

(Chen et al., 2019b) (Chen et al., 2019c)

(Arunkumar et al., 2017a) (Arunkumar et al., 2017b) (Chen et al., 2019a)

Ref.

(continued on next page)

Cell proliferation, apoptosis, anchorage-independent growth, migration Lymph node metastasis, cell migration, invasion, EMT, apoptosis Metastasis, Cell proliferation, Apoptosis Tumor growth and metastasis, cell migration and invasion, EMT Cell proliferation, migration and invasion, distant metastasis EMT, metastasis, HNSCC outgrowth, proliferative capacity, tumor size Cell growth, proliferation, invasion, metastasis

Metastasis

Cell migration

Cell proliferation, Cell cycle distribution and invasion Cell proliferation, Migration and therapy-induced apoptosis

Cell proliferation, Migration, Invasion, EMT and apoptosis

Cell proliferation, migration, invasion

Cell proliferation, invasion and migration

Cells proliferation, Apoptosis

Cell cycle transition, Cell proliferation, Cell migration Cell proliferation, Migration, Invasion,

Cell proliferation, metastasis

Functions

S. Ghafouri-Fard, et al.

Experimental and Molecular Pathology 112 (2020) 104353

4

Oral SCC

HNSCC

nasopharyngeal carcinoma Oral SCC

Oral SCC

HNSCC

Laryngeal SCC

-

HNSCC

Oral SCC

Oral SCC

Tongue SCC

Laryngeal SCC

CEBPA-AS1

LINC00473

LncRNA-ROR

NEAT1

LINC00958

MIR100HG

CCAT1

ZFAS1

FOXCUT

LUCAT1

H19

HOTAIR

WWTR1-AS1

HNSCC

HNSCC

HNSCC

H19

H1

Laryngeal SCC

SNHG1

72 patients; Hep-2 cell line, BALB/c mice Athymic female nude mice

50 Paired OSCC tissues and ANTs 16 patients

23 OSCC tissue specimens with matched ANTs

NOD-SCID Gamma (NSG) mice

70 tumor and ANTs

42 freshly frozen OSCC tissues, as well as 42 matched controls, BALB/c nude mice 30 OSCC tissues and their ANTs; Ten female athymic BALB/c nude mice 48 cases of paired HNSCC and ANTs

78 paired of clinical HNSCC and matched ANTs BALB/c nude mice

60 pairs of OSCC tissues and matched ANTs

62 HNSCC samples and ANTs from 19 samples

65 matched cancerous and ANTs

40 TSCC tissues and ANTs; Nu/ Nu nude mice 30 OSCC tumor tissues and ANTs, BALB/c nude mice

Tongue SCC

Oral SCC

Samples

Cancer subtype

UCA1

Gene

Table 1 (continued)

Tu686, TSCCA and Cal27, Tb3.1, HIOEC

Tca8113, OSC-4, SCC1, SCC2, SCC4, SCC9, CAL-27, UM1, UM2, SMMC7721, HCCLM3, HUH7, HEPG2, MCF7, BT474, SKBR3, HCC1187, HCC1143, LO2, HOK, MCF-10A Tca8113, TSCCA, CAL-27, SCC-9, NHOK CAL27, SCC9, SCC15, SCC25, and FaDu Hep-2

DOK, SCC-040, SCC-25, FaDu

KYSE, TE-5 and TT, UMSCC1, 93UV147, SK-MES-1, Calu-1, ChagoK1, H520, H2170, H226

HOK, HEK-293T, Detroit 562, Cal27, SCC-9, SCC-15, and Fadu UM-SCC-17A,

hNOK, SCC-9, SCC-25, HN4, Tca-8113 and Cal-27

SCC9, SCC15, SCC25, and CAL2, OKC NP69, CNE-1, CNE-2, HONE-1, HNE-1 SCC-4, SCC-15, CAL-27, HSC-3, HSC-2, Ca9-22, HOK-16B

STC2, miR-206

miR-let-7, HMGA2, vimentin, N-cadherin, twist, zeb1, snail1 PTEN

PI3K/AKT, HOTAIR/miR206/STC2 WWTR1-AS1/WWTR1

-

H19/let-7a/HMGA2

-

FOXC1/FOXCUT

FOXC1, MMP2, MMP7, MMP9, VEGF-A

PCNA

Cadherin, integrin, EGFR, FAS, FGF, insulin/IGF, TGFβ, VEGF, interleukin, JAK/ STAT, PDGF, PI3K, p53, p38, Ras, Toll receptor, Wnt

TP63/SOX2-CCAT1-EGFR, MEK/ERK1/2, PI3K/AKT

MIR100HG/ miR-204-5p

LINC00958/c-Myc

NEAT1/miR-365/RGS20

H19/miR-138/EZH2

LncRNA-ROR/P53

Wnt/β-catenin

CEBPA-AS1/CEBPA/Bcl2

H19/miR-675

miR-375/YAP1/Hippo

UCA1/miR-184

miR-140-5p/PAK1

Signaling pathways

ZNFX1, miR-150-5p, EIF4E

TP63, SOX2, EGFR, ETV4, TXNRD1, CDK4, YES1, PAK4, HMGA1

miR-204-5p

miR-365, RGS2, cyclin D1, Ecadherin, N-cadherin, vimentin c-Myc

miR-138, EZH2, vimentin, Ncadherin, ZEB1, E-cadherin

P53

Bax protein, Bcl-2 protein

CEBPA, Bcl2

miR-675, Slug, HuR, EGR1

Hep-2, iNOE Tca8113 and Cal27, hNOK

YAP1, miR-375

miR-140-5p, PAK1, miR-503, miR-96 miR-184, SF1, caspase-3, Bax protein, BCL2

Gene interaction

NHOKs, Tca8113, SCC-2, SCC4, SCC-9, and Cal-27 Tca8113, SCCA, CAL-27, SCC9, NHOK, Tca8113-CDDP and TSCCA-CDDP AMC-HN-8 and Hep-2

Assessed cell line

-

Poor prognosis

Poor prognosis

-

-

Poor prognosis

-

-

Poor prognosis

Poor prognosis

Poor prognosis

Poor prognosis

Poor prognosis, lymph node metastases Poor prognosis, lymph node metastasis Poor prognosis

Poor prognosis

-

-

Association with patient outcome

(Li et al., 2019d)

(Kong et al., 2019) (Kou et al., 2019) (Li et al., 2013)

(Kong et al., 2014)

(Kolenda et al., 2019)

(Huang et al., 2019b) (Jiang et al., 2018)

(Huang et al., 2019a)

(Huang et al., 2018)

(Han et al., 2018) (Hong et al., 2019) (Hong et al., 2018)

(Guo et al., 2018)

(Guan et al., 2016)

(Gao et al., 2018)

(Zhu et al., 2019) (Fang et al., 2017)

Ref.

(continued on next page)

Cell apoptosis, invasion, tumor Growth Cell proliferation, invasion, migration, tumor growth

Cell growth, migration, and invasion Cell migration and invasion

Cell proliferation, invasion, apoptosis, cell cycle control, EMT Cell viability, colony formation, resistance to chemo- and radiotherapy Cell proliferation, migration and invasion Cell-cycle regulation, chromatin binding, cell proliferation, survival, metastasis EMT, proliferation, migration, invasion, apoptosis, cell adhesion, signal transduction, differentiation, angiogenesis, oxidative stress response EMT and cell migration

Cell proliferation, migration and invasion, Tumor growth

Cell proliferation, apoptosis, radio resistance of HNSCC Cell proliferation, apoptosis

Cells proliferation, apoptosis, migration and invasion

Cell proliferation, migration, and invasion, tumor growth Cell proliferation, CDDP sensitivity in OSCC, Tumor growth Cell proliferation, migration and invasion apoptosis, tumor growth, metastasis Cell proliferation, viability, migration, invasion

Functions

S. Ghafouri-Fard, et al.

Experimental and Molecular Pathology 112 (2020) 104353

5

Oral SCC

Oral SCC

Oral SCC

Oral SCC

Oral SCC

Oral SCC

Oral SCC

FTH1P3

TUG1

NEAT1

HNF1A-AS1

MINCR

CCAT2

Oral SCC

TUG1

ANRIL

Laryngeal SCC

snaR

Oral SCC

Tongue SCC

TUG1

HOTAIR

Laryngeal SCC

External auditory canal SCC

Tongue SCC

ADAMTS9AS2 SNHG20

lnc-MMP3-1

Oral SCC

AC132217.4

Tongue SCC

Oral SCC

SNHG16

CILA1

Oral SCC

LINC00152

Laryngeal SCC

Oral SCC

OIP5-AS1

SNHG1

Cancer subtype

Gene

Table 1 (continued)

62 paired OSCC tissues and ANTs

62 pairs of OSCC tissues and their ANTs OSCC tissues and paired ANTs

58 OSCC and ANTs

BALB/c thymic free nude mice

134 patients

56 tissue and serum samples

-

8 pairs of cancerous and ANTs

155 patients; BALB/c-nu mice

20 pairs of carcinoma tissues and ANTs

56 pairs of LSCC tissues and ANTs 27 samples of fresh TSCC tissues and ANTs 52 patients with LSCC and 38 healthy volunteers 96 OSCC tissues and matched ANTs

Tca8113, Cal27, and hNOK

CAL-27, HN5, SCC-15, SCC-9, Tca8113, NHO TSCCA, Tca8113, SCC25, HOK

HN4, Tca-8113, UM-SCC-1, Cal-27, SCC-25, SCCKN, hNOK

SNU1041, SCC25, SCC4, SCC9, hNOK NOK, SCC-4, SCC-9, SCC-25, CAL-27, HN-6, and TCA8113

SCC15, TW2.6

Tca8113

-

CAL27 and SCC9

HEp-2

NHOK, SCC-25, CAL-27, Tca8113, and TSCCA

UM-SCC-17A

CAL-27 and SCC-9

Cal27, SCC9, SCC15, SCC25 and SCC4, NOKs AMC-HN-8 and Hep-2

UM-SCC6, UM-SCC6H, SCC090

SCC-25, CAL-27, NHOK

SCC9, SCC15, Ca9-22, HSU3, NHOK Tca8113, OSCC-15, SCC-9, and SCC-25, hNOKs

SCC4, SCC9, SCC25, FaDu, Cal27, HOK

73 tumor specimens with paired ANTs

38 pairs OSCC tissue samples ANTs, BALB/c nude mice 40 OSCC tissues and corresponding ANTs; BALB/c nude mice 29 pairs of OSCC tissues and normal tissues; Balb/c-nude mice 30 OSCC tissues and normal tissues; Four-week-old nude mice 76 TSCC specimens

Assessed cell line

Samples

STAT3, Jagged-1/Fc, Notch1 and Hes1 β-catenin, cyclin D1, Ecadherin, N-cadherin and cmyc

miR-365, MMP-2, MMP9

miR-524-5p, DLX1

-

Active caspase-3

p53, p21

β-catenin, cyclin D1, cmyc, LiCl, cleaved caspase-3 and caspase-9, Bax, Bcl-2 Bax, Bcl-2, cleaved Caspase-9, cleaved PARP, MMP-2 and MMP-9 E-cadherin, vimentin, Wnt5A, b-catenin, GSK-3b, c-Myc, survivin -

TGF-β1

-

miR-600, EZH2, E-cadherin, vimentin miR-140

c-Myc, PCNA, MMP-2, MMP-9, E-cadherin, N-cadherin, Snail, has-miR-124-3p IGF2, KLF8

miR-139-5p, N-cadheri, Vimentin, E-cadherin

miR-338-3p, NRP1

WWTR1, CD44, CD133, Bmi1, SOX2, E-cadherin, N-cadherin, vimentin, Twist, Slug

Gene interaction

Wnt/β-catenin

Wnt/beta-catenin

Notch

-

PI3K/Akt/GSK3b/ Wnt/bcatenin TUG1/miR-524-5p/DLX1

TGF-β/Smad

Pathways in cancer, PI3KAkt signaling pathway and focal adhesion -

Wnt/b-Catenin

Poor prognosis

Poor prognosis

Poor prognosis, lymph node metastasis Poor prognosis

Poor prognosis, TNM stage -

-

-

Poor prognosis, TNM stage

Poor prognosis

TNM stage, lymph node metastasis, tumor grade Poor prognosis and metastasis

Wnt/β-catenin Mitochondrial apoptotic pathway

Poor prognosis

-

Poor prognosis

Poor prognosis

-

-

Poor prognosis

Unfavorable prognosis, tumor size, cervical node metastasis -

Association with patient outcome

-

-

-

miR-600/EZH2

KLF8/AC132217.4/IGF2

-

-

miR-338-3p/NRP1

Signaling pathways

(Ma et al., 2017b)

(Liu et al., 2019c) (Lyu et al., 2019)

(Liu et al., 2018b)

(Liu et al., 2016) (Liu et al., 2019a) (Liu et al., 2018a) (Liu et al., 2019b)

(Liu et al., 2017a)

(Lin et al., 2018b)

(Lin et al., 2018a)

(Li et al., 2019e) (Liu et al., 2019c) (Liu et al., 2017b) (Liang et al., 2019) (Liang et al., 2017b)

(Li et al., 2017)

(Li et al., 2019c)

(Li et al., 2019b) (Li et al., 2018)

(Li et al., 2019a)

Ref.

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Cell proliferation, migration, EMT, apoptosis Cell proliferation, migration, cell cycle progression, apoptosis, metastasis Cell proliferation, invasion, inhibiting and apoptosis

Cell proliferation, apoptosis and cell cycle Cell proliferation and apoptosis Cell proliferation, migration and invasion Migratory, proliferative potentials, cell-cycle progression Cell migration and invasiveness

Differentiation degree, tumor invasion

Cell carcinoma proliferation, migration and EMT Cell Proliferation and tumor stage Apoptosis, cell proliferation, cell cycle Cell proliferation, migration, and invasion Cell growth, cell proliferation, cell invasion, colony formation, apoptosis Cell proliferation, invasion, migration, apoptosis, colony formation, EMT Metastasis, EMT, ChemoResistance, cell viability

Cell proliferation, migration and invasion, tumor growth Cell proliferation, colony formation, migration, invasion, EMT, tumor growth Cell proliferation, migration and invasion, cell cycle, apoptosis, tumor growth Metastasis, cell migration and EMT

Cell proliferation, migration, invasion, apoptosis

Functions

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Experimental and Molecular Pathology 112 (2020) 104353

HNSCC

Laryngeal SCC

Tongue SCC

Oral SCC

Tongue SCC

Laryngeal SCC

SOX2-OT

MPRL

LACAT1

UCA1

HOTAIR

HOXA11-AS

PCAT-1

Laryngeal SCC

RHPN1-AS1

Laryngeal SCC

HNSCC

ST7-AS1

UCA1

Hypopharyngeal SCC Laryngeal SCC

UCA1

Oral SCC

Cutaneous SCC

PICSAR

PDIA3P

Tongue SCC

TUC338

HNSCC

HNSCC

ANRIL

CASC9

Cancer subtype

Gene

Table 1 (continued)

6

-

87 patients

23 patients, BALB/c nude mice

90 patients and 90 healthy subjects 23 paired cancer tissues and ANTs, athymic nude mice 65 LSCC tissues and paired ANTs; BALB/c nude mice

58 patients

32 tumor and 12 ANTs, 66 tumor and 56 ANTs

25 paired cancerous and ANTs

26 patients

Tissue samples of SCC tumors (n=6) and normal skin (n=7), Tissue microarrays consisting of samples from normal sunprotected skin (n=9), actinic keratosis (n=26), SCC in situ (n=20), and SCC (n=21); 53 patient tumors and paired ANTs

25 pairs of tumor and ANTs

-

Samples

-

Fadu, SCC-25, CAL-27, Tca8113, Hs 680.Tg CAL 27, SCC-9

CAL-27, SCC-9 and SCC-25

Cal27, NOK, JHU029 and JHU022 HEp-2 and SCC10A

UM -SCC 10A/ B, −11B, −14A/ B, −17A/ B, −47, −104, UT -SCC -14, −24A/ B, − 33, UD -SCC 1, − 2, − 3, − 5, − 6, −7A, − 8, FaDu, HaCaT, VM-CUB1, SW-1710, HT-1376, 5637, BFTC-905, HBLAK SCC4, SCC9, SCC1, SCC25, TU183, HSU3, FADU, OEC-M1, SNU1041, SCC15, NHOK AMC-HN-8

AMC-HN-8 and Hep-2

Cal-27 and Tca8113

TU-212, Hep-2 and NP-69

FaDu

NHEKs, cSCC cell lines

CAL-27 and SCC-9

FaDu, CAL27

Assessed cell line

CD63

-

microRNA-4301

miR-483-5p

Caspase 9, PARP, c-Myc, ASK1and AKT1 PTEN, EZH2

GSK-3β

miR-185-5p, Ki-67, CCND2, Cyclin D2

E-Cadherin, BCL2

β-Catenin, Claudin-1 and Vimentin -

CARM1, Sox-2

-

DUSP6, MMP13, Ki-67, p38α and p38δ

-

PI3K/Akt

-

-

SOX2-OT–EZH2–PTEN

c-Myc/AKT1/p38 MAPK

Wnt/β-catenin

miR-185-5p/CCND2

-

-

-

ST7-AS1/CARM1/Sox-2

-

ERK1/2, ERK/MAPK

-

-

β-catenin, CCND1, MYC, GSK3β, glycogen synthase kinase 3 beta ARF mRNA, p15 and p16 -

Signaling pathways

Gene interaction

-

Poor prognosis

Good prognosis

-

Poor prognosis

Poor prognosis

Poorer prognosis

Poor prognosis, neck nodal metastasis, and clinical stage Poor prognosis

Poor prognosis

Significantly worse prognosis Poor prognosis

-

-

-

Association with patient outcome

(Wang et al., 2019a) (Wang et al., 2016a)

(Tian et al., 2019)

(Sun et al., 2019) (Sur et al., 2019) (Tai et al., 2019)

(Sun et al., 2017)

(Sassenberg et al., 2019)

(Qiu et al., 2019) (Qu et al., 2018)

(Qian et al., 2017) (Tai et al., 2019)

(Matsunaga et al., 2019) (Ouyang et al., 2017) (Piipponen et al., 2016)

Ref.

(continued on next page)

Chemo resistance, apoptosis, cisplatin-induced PI3K activity, activation phosphorylation of Akt

Cell proliferation, invasion and migration Tumor growth, apoptosis, cell proliferation Cell proliferation, migration, invasion, cell apoptosis, tumor volume and tumor weight Mitochondrial fission, cisplatin sensitivity, apoptosis, growth Cell proliferation, Apoptosis

Cell proliferation

Cell proliferation, migration and invasion, chemo resistance

Cell proliferation, invasion, apoptosis, metastasis TNM stages, metastasis, migration, tumor sphere formation Cell Migration, Invasion and Proliferation, EMT, apoptosis Cell growth, migration, and invasion

Cell proliferation, regulation of G1 phase progression Cell proliferation and apoptosis Cell proliferation and migration

Functions

S. Ghafouri-Fard, et al.

Experimental and Molecular Pathology 112 (2020) 104353

31 OSCC tumor tissues and ANTs, BALB/c nude mice

-

Laryngeal SCC

HNSCC

Oral SCC

Oral SCC

Oral SCC

Tongue SCC

Oral SCC

Oral SCC

Laryngeal SCC

Oral SCC

Laryngeal SCC

HNSCC

HNSCC

Oral SCC

Oral SCC

Laryngeal SCC

HNSCC

Oral SCC

MIR31HG

(Wang et al., 2019b)11AS HOTAIR

lnc-p23154

AFAP1-AS1

HOTAIR

SNHG20

7

H19

HOTAIR

XIST

MYOSLID

HuR

LINC00662

FEZF1-AS1

RGMB-AS1

LINC00460

TUG1

42 pairs of OSCC tissues and ANTs 49 paired LSCC tissues and ANTs, nude mice 54 HNSCC tissues and their ANTs

34 Tumor tissues and ANTs; BALB/c mice 15 paired fresh cancer tissues and ANTs, 502 cases of HNSCC and 44 ANTs 73 pairs of HNSCC paraffinembedded tissue samples TSCC samples and ANTs

12 pairs of OSCC patients and matched ANTs; 4-week-old mice 5 matched samples of LSCC tissues and ANTs, 82 matched cancerous and ANTs, BALB/c mice 76 OSCC samples and ANTs

103 pairs of human TSCC tissues and corresponding ANTs, BALB/c athymic nude mice 50 tumor and ANTs

49 OSCC and ANTs, BALB/c nude mice

52 LSCC patients and 49 patients with polyps of vocal cords 52 Pairs of tumor tissues and ANTs; BALB/c mice 60 patients; Nude mice

NEAT1

Samples

Cancer subtype

Gene

Table 1 (continued)

PCI-13, FaDu, SCC-15, UMSCC-10A

Hs 680.Tg, Fadu, SCC-25, CAL27 and Tca8113 Hep-2 and AMC-HN-8

SCC25, HN4, Cal27, SCC4, HN30, HN12, HN13 and FaDu HIOEC, CGHNC9, ISG15, SCC9, and SCC25

Tca8113, HIOEC, Cal27, SCC4 and SCC9

Hep-2 and HEK293T

TSCCA, Tca8223, CAL-27, Tb3.1

Hep-2

HIOEC, Tca8113, UM-1 and CAL-27 SCC9, SCC15, SCC25, Ca9-22, HSU3, TSCCA, Fadu, NHOK

SCC-15, Tca8113, SCC-4, SCC9, CAL-27

UM1, HSC-4, HSC-6, NOK, HEK 293T, SCC-15, SCC-25, CAL-27

STC2, miRNA-206, AKT, ERK, Beclin 1, cleaved-PARP, Bax, cleaved- caspase 3 FMNL2, miR-219, FMNL2-WT

miR-22, NLRP3

miR-196a

HOTAIR, miR-7, bcl2l1, bcl3, birc3 and bcl2a1 Wnt3a and β-catenin

Slug, PDPN and LAMB3

EZH2, miR-124

EZH2, E-cadherin, PRC2 complexes

miR-148a-3p, DNMT1

ALDH1, LIN28, Nanog, Oct4, SOX2, miR-197

-

MAP1LC3B, Beclin1, ATG3, ATG7, N –cadherin, vimentin, E–cadherin, caspase 3, caspase 7, Mcl-1, survivin, bcl -2, MDR1 miR-378a-3p, HK2, PKM2, Glut1, LDHA, MMP1, CTGF, N –cadherin, vimentin, E–cadherin SLUG, SNAIL1, VIM, CADN, ZEB1, ZEB2, SMAD2, NANOG, NESTIN, SOX2, TWIST1

miR-214-3p, PIM1

NHOK, TSCCA, CAL-27, SCC-9, Tca8113 KB, CAL -27

s HIF1A, P21, CCND1

CDK6, miR-107

Gene interaction

Fadu, Cal-27

Hep-2

Assessed cell line

TUG1/miR-219/FMNL2

f LINC00460/ miR-206/ STC2, AKT signaling

RGMB-AS1/miR-22/NLRP3

-

Wnt/β-catenin

-

-

miR-124-3p/EZH2

-

H19/miR-148a-3p/DNMT1

SNHG20/miR-197/LIN28

-

Wnt/β-catenin

Glut1-mediated glycolysis

-

HOXA11-AS/miR214-3p/ PIM1

-

miR-107/CDK6

Signaling pathways

Poor prognosis

Shorter overall survival

Poor prognosis

Shorter overall survival Tumor size, stage and lymph node metastasis Poor prognosis

Poor prognosis

-

Poor prognosis

Poorer overall survival

-

Poorer prognosis

Poor prognosis

-

-

-

Poor prognosis

Lymph node metastasis and clinical stage -

Association with patient outcome

(Xu et al., 2019) (Xu and Xi, 2019) (Xue et al., 2019)

(Xu et al., 2016) (Xue et al., 2019)

(Xiao et al., 2019b) (Xiong et al., 2019)

(Wu et al., 2015)

(Xu et al., 2016)

(Wu and Xie, 2015) (Wu et al., 2019)

(Wang et al., 2018f)

(Wang et al., 2018e)

(Wang et al., 2018c)

(Wang et al., 2019b)

(Wang et al., 2016b) (Wang et al., 2018b)

(Wang et al., 2014)

Ref.

(continued on next page)

Cell viability, migration, invasion, metastasis Cell proliferation and migration, invasion, apoptosis Cell proliferation, clinical stage Tumor growth, cell proliferation and invasion Cell cycle, autophagy and apoptosis

Cell invasion proliferation, colony formation and metastasis Cell proliferation, migration, and invasion, tumor growth Cell invasion, migration and metastasis, EMT

Cell growth, cell cycle, and apoptosis Proliferative ability, mammosphere-forming ability, and tumor growth Cell migration, invasion and proliferation

Cell proliferation, invasion and survival, cell cycle arrest

Invasion-metastasis potential, tumor size, cell migration and invasion

Cell proliferation, migration, invasion, autophagy, apoptosis and sensitivity to cisplatin

Proliferation, apoptosis and cell cycle arrest Cell proliferation, cell cycle progression, and cell apoptosis Cell Proliferation, cisplatin resistance

Functions

S. Ghafouri-Fard, et al.

Experimental and Molecular Pathology 112 (2020) 104353

Cancer subtype

Tongue SCC

Laryngeal SCC

Oral SCC

Oral SCC

HNSCC

Tongue SCC

Tongue SCC

Laryngeal SCC

Oral SCC

Oral SCC

Oral SCC

Tongue SCC

HNSCC

Oral SCC

Gene

THOR

LOC554202

CASC9

FAL1

PVT1

LINC00673

LINC00152

FTH1P3

LEF1-AS1

LINC00668

FTH1P3

HOTTIP

ANRIL

PAPAS

Table 1 (continued)

8

49 Fresh HNSCC tissues and ANTs; 6-week-old athymic nude mice

86 TSCC tissues and 14 ANTs

70 patients

50 patients, nude mice

88 pairs of OSCC tumor tissues and ANTs, BALB/c-nu male mice

Set 1: 15 paired primary TSCC tissues and ANTs, Set 2: paraffin-embedded SCC tissue samples from 202 cases of patients Set1: 15 TSCC and 14 nontumor lingual mucous membrane biopsies, Set2: 182 paraffin-embedded TSCC and 46 non-tumor lingual mucous membrane tissue samples, GSE30784: 167 cancer tissues and 45 ANTs, GSE9844: 26 cancer tissues and 12 ANTs 40 Fresh LSCC tissues and ANTs

40 pairs of tumor samples and ANTs Cohort 1: 35 fresh OSCC tissue and matched ANTs, Cohort 2: 84 paraffin-embedded tissue sections, SPF BALB/c nu/nu nude mice 20 pairs of OSCC tissues and ANTs 83 SCCHN and their ANTs; Tu686, FaDu cell lines, Athymic nude mice

SCC090 and SCC25 OSCC

CAL-27, SCC-9, HN4, HN6 and HN30

SCC4, SCC9, SCC1, SCC25, TU183, HSU3, FADU, OEC-M1, SNU1041, SCC15, NHOK SCC4, SCC9, SCC1, SCC25, TU183, HSU3, FADU, OEC-M1, SNU1041, SCC15 and NHOK -

NHOK, SCC9, FADU, SCC25, SCC1, TU183, HSU3, OECM1, SNU1041, SCC4, and SCC15

Hep-2 and TU212

-

Tca8113 and Cal27

HOKs, SCC6, SCC9, SCC25, HN4, and HN6 Tu686, FaDu

HOMEC, SCC15 and CAL27

Hep2

Tca-8113 and Cal-27

HN4, HN6, SCC-25, CAL-27, NHOK

46 tumors and matched ANTs, NOD/SCID mice

55 tongue cancer and 31 ANTs; Athymic nude mice

Assessed cell line

Samples

TGF-β1

miR-125a-3p, ELK1, FGF1, GRB2, NF1, FGFR1 and FGFR2

-

miR-224-5p, fizzled 5

miR-297, ki-67

MST1/2, SAV1, LATS1/2, MOB, YAP, Ki67

Caspase-3

SNHG5, LINC00520, LINC00094, LINC00511, EPB41L4A-AS1, and LINC00341, H19

-

E-cadherin, Vimentin, βcatenin, p-GSK3β,

microRNA-761, CRKL

p-AKT, p-mTOR, P62, BCL-2, BAX and the LC3BII/LC3BI ratio

IGF2BP1, IGF2, CD44, KRAS, Cyclin D1, Cyclin E1, p21 and p27 miR-31, RhoA

Gene interaction

-

ANRIL/miR-125a-3p/ FGFR1/MAPK

-

FTH1P3/miR-224-5p/ fizzled 5

miR-297/ VEGFA

Hippo LEF1-AS1/LATS1/ YAP1

Poor prognosis, T stage, distant metastasis, clinical stage Poor prognosis

Poor prognosis

Poor prognosis

Poor prognosis

Poor prognosis

Poor prognosis

-

-

Poor prognosis

Poor prognosis

Poor prognosis

Poor prognosis

-

Poor clinical outcomes

Association with patient outcome

-

Wnt/β-catenin

microRNA-761/CRKL

AKT/mTOR

-

THOR/IGF2BP1/IGF2-MEKERK

Signaling pathways

(Zhang et al., 2018a)

(Zhang et al., 2015)

(Zhang, 2017b)

(Zhang, 2017a)

(Zhang et al., 2019a)

(Yuan et al., 2019a)

(Yu et al., 2017b)

(Yu et al., 2017a)

(Ye and Jiao, 2019) (Yu et al., 2018)

(Yang et al., 2018) (Yang et al., 2019b)

(Yang et al., 2019b)

(Yan et al., 2017)

Ref.

(continued on next page)

Cell invasion and migration

Cell cycle, proliferation, tumor growth

Cell proliferation and colony formation

Cell proliferation, migration and invasion, apoptosis, lymph node metastasis Cell survival, proliferation and migration, apoptosis, tumor growth and cell cycle arrest Cell proliferation, tumor growth

Tumor size, invasion of muscles, lymph node metastasis, and recurrence

Cell proliferation and invasion, cervical lymph node metastasis, EMT, stemness Cell invasion, metastasis, tumor size

Proliferative potential

Cell growth, cell cycle and cell invasion Apoptosis, autophagy, tumor size, regional lymph node metastasis, cell proliferation

Cell proliferation, migration, invasion, cell cycle arrest, tumor growth, metastasis Cell proliferation

Functions

S. Ghafouri-Fard, et al.

Experimental and Molecular Pathology 112 (2020) 104353

Cancer subtype

Tongue SCC

Laryngeal SCC

Hypopharyngeal SCC

Laryngeal SCC

Laryngeal SCC

Tongue SCC

Oral SCC

Tongue SCC

HNSCC

Tongue SCC

Gene

KCNQ1OT1

LINC00668

PEG10

HOTAIR

PVT1

MIAT

HAS2-AS1

CASC15

HOTAIR

UCA1

Table 1 (continued)

9

124 TSCC tissues and paired normal tissue

-

30 TSCC samples and ANTs

96 OSCC tissues and paired normal mucosa, Nude mice

30 LSCC and corresponding ANTs 116 TSCC patients

40 LSCC tissue samples and ANTs

56 patients

24 paired-specimens

68 patients with OSCC and 52 healthy volunteers 95 ANTs and 102 TSCC tissues; BALB/c nude mice

Samples

SCC9, SCC15, SCC25, Cal27, and Tca8113

SCC1, SCC4, Cal27, UM1, NOK16B, NHOK Tca8113, Tca8113P160, Tb3.1, Tscca, Hep-2

SCC-9 and CAL-27

NHBEC, TU686, TU177, and LSC-1 SCC-9

Hep-2, AMC-HN8

FaDu

TU177, TU212, TU686 and AMC-HN-8

CAL27 and SCC9

Assessed cell line

MICU1, Bcl-2, BAX, Caspase-3, Cleaved Caspase-3, Cytochrome c MAPK/Erk1/2, p-MAPK/Erk1/ 2, AKT1/2, and p-AKT1/2, bcatenin, TCF-4, cyclin D1

miR-33a-5p, ZEB1, cyclin D1

E-cadherin, vimentin, βcatenin, N-cadherin, and SNAI1 Ki-67, E-cadherin, vimentin, p65 KD, HF-1α and NF-κB

miR-519d-3p

EZH2

-

hsa-miR-197-3p, hsa-miR-761, hsa-miR-204- 5p, hsa-miR211-5p, hsa-miR-134-5p, cleaved PARP and cleaved caspase-3, -7, and -9 ABL2, RAB3B, ENAH and HMGA2

Gene interaction

WNT/b-catenin

Mitochondrial apoptotic pathway

-

-

Wnt/β-catenin

-

-

-

-

Ezrin/Fak/Src

Signaling pathways

Lymph node metastasis, apoptosis, TNM Stage

Poor prognosis

-

Poor prognosis, cervical lymph node metastasis -

-

-

-

-

Low overall survival rate Poor prognosis

Association with patient outcome

Proliferation

Hypoxia-induced invasiveness, lymph node metastasis Cell proliferation, cycle, and migration Mitochondria Related Apoptosis, Tumor Growth

Cell proliferation, migration and invasion, cervical lymph node metastasis Cell proliferation, invasion and metastasis, tumor size, tumor node metastasis Cell proliferation and cisplatinum resistance, lymphatic metastasis Cell proliferation and migration, apoptosis Cell invasion, EMT

Cell proliferation and cisplatin resistance

Functions

(Yang et al., 2016b)

(Zuo et al., 2018) (Kong et al., 2015)

(Zhu et al., 2017)

(Zheng et al., 2019) (Zhong et al., 2019)

(Zheng et al., 2017)

(Zhao et al., 2017b)

(Zhao et al., 2019)

(Zhang et al., 2019c) (Zhang et al., 2018b)

Ref.

S. Ghafouri-Fard, et al.

Experimental and Molecular Pathology 112 (2020) 104353

122 patients and 52 healthy controls

40 paired OSCC and ANTs

69 Paired tumor specimens and their ANTs, athymic BALB/c nude mice

40 paired OSCC and ANTs

Oral SCC

Oral SCC

Oral SCC

Oral SCC

CASC2

10

HNSCC

Laryngeal SCC

Oral SCC

Oral SCC

lnc-IL17RA-11

PTCSC3

SOX21-AS1

GAS5

Oral SCC

Laryngeal SCC

Oral SCC

AC026166.2-001

45 Fresh OSCC tissues and normal control tissues

Oral SCC Oral SCC

LOC441178 MEG3

Oral SCC

BALB/c nude mice

Oral SCC Oral SCC

MORT LINC01133

C5orf66-AS1

Tumor tissue and ANTs from 59 patients 50 pairs of tissue samples with paired ANTs 52 patients 83 tumor samples and ANTs

Tongue SCC

FALEC

66 LSCC patients and 52 healthy volunteers Paired tumors and ANTs from 2 OSCC patients -

-

BALB/c nude mice

30 paired OSCC and ANTs

96 paraffin-embedded TSCC samples and 10 paired TSCC and matched ANTs; NOD/SCID mice 17 pairs of fresh TSCC tissues and ANTs; 8week-old male mice

Tongue SCC

NKILA

350 patient and 44 controls

Oral SCC

AC012456.4

Cancer samples and ANTs from 62 patients

Laryngeal SCC

NEF

Samples

Cancer subtype

Gene

HSC3, HSC6, SCC15, SCC25, cal-27, UM1

SAS, CAL27

SCC-47, SCC-104, SAS UM-SCC-17A

AMC-HN-8, TU-212

HIOEC, SCC25, CAL27, HB, Tca8113 SCC 9, HOK

H157 and HSC-2, and HEK-293

SCC-9, CAL-27, SCC25, SCC-4, SCC-6, SCC-15 SCC090, SCC25 NOK, CAL2, HN4, and 293FT SCC-25 SCC15 and Cal27

CAL27 Tca8113

Tca8113, TSCCA, CAL-27, SCC-9, HOK Tca8113, SCC-9, TSCCa, CAL-27, NOK Tca8113, TSCCA, CAL-27, SCC-9, NHOK -

SCC090, SCC25

UM-SCC-17A

Assessed cell line

E-cadherin, fibronectin, cyclin D1 miR-21, PTEN, Akt, E-cadherin, PCNA, cyclinD1, Ki-67, Ncadherin, vimentin, snail1

HOTAIR, STAT3

ER-α, CDK2, CCNA2, PCNA

CYC1, Bcl-2, Bax, cleaved Caspase-3/7/9, MMP9 miR-24-3p, p27 and cyclin D1

miR-21

miR-548d-3p, SOCS5, SOCS6

ROCK1, HIF-1α β-catenin, TCF-4 and cyclin D1

ROCK1 GDF15, MMP10, and MMP13

NF-κB, IκBα, Bay-117082, JSH23, E-cadherin, N-cadherin and vimentin, p65 EZH2, ECM1

-

CDK1

microRNA-21, PDCD4, Bax, Bcl2

CDK1

miRNA-21

-

Gene interaction

Table 2 Function of down-regulated lncRNAs in HNSCC (ANT: adjacent normal tissue, EMT: epithelial-mesenchymal transition).

miR-21/PTEN

-

-

P53

miR-24-3p/p27

-

miR-548d-3p/ JAK-STAT miR-548d-3p/ SOCS5/SOCS6 -

RhoA/ROCK WNT/β-catenin

-

-

CALCIUM, MAPK, JAK/ STAT NF-κB/Twist

-

CASC2/miR-21/ PDCD4

-

-

Wnt/β-catenin

Signaling pathways

-

Poor prognosis

-

disease prognosis

Poor prognosis

-

Poor prognosis

-

Poor prognosis -

Poor prognosis -

Good prognosis

Poor prognosis

Poor prognosis

-

-

-

-

Poor prognosis

Association with patient outcome

(Song et al., 2019) (Xiao et al., 2019a) (Yang et al., 2016a) (Zeng et al., 2019)

(Shen et al., 2018)

(Lu et al., 2018)

(Zhang et al., 2018a)

(Jin et al., 2019) (Kong et al., 2018) (Xu et al., 2018) (Liu et al., 2017b) (Tan et al., 2019)

(Jia et al., 2019)

(Huang et al., 2016)

(Wang et al., 2018d)

(Xing et al., 2019)

(Cui et al., 2019b) (Dong and Wu, 2019) (Xing et al., 2019) (Piipponen et al., 2016)

Ref

(continued on next page)

Cell growth and invasion, tumor size Cell proliferation, migration, invasion, and EMT

Cell proliferation, invasion, migration, growth, metastasis Cell proliferation, migration, clone-forming capacity, apoptosis DNA replication, cell cycle, base excision repair cell proliferation

Cell cycle, proliferation, migration

Cell proliferation cell migration and invasion, metastasis Cell invasion and migration Cell Proliferation, apoptosis, metastasis Cell migration, apoptosis

Cell migration and invasion, EMT, tumor size, lymph node metastasis Cell proliferation, migration, colony formation, metastasis

Regulation of cell activation

Cell growth, migration and invasion

Cell growth, migration and invasion Cell proliferation, apoptosis, lymph node metastasis

Cell proliferation, Tumor size

Cell proliferation, Apoptosis

Functions

S. Ghafouri-Fard, et al.

Experimental and Molecular Pathology 112 (2020) 104353

Experimental and Molecular Pathology 112 (2020) 104353

Ref

(Zhao et al., 2017a) (Zhou et al., 2016) Cell proliferation, migration and invasion, apoptosis, EMT Cell proliferation, invasion, growth, metastasis, apoptosis Poor prognosis

Poor prognosis

Signaling pathways

AKT

-

Gene interaction

CDH1, miR-205-5p, E-cadherin, Snail2 and vimentin SNU899 and SNU46

FaDu

51 patients

global profiling: 3 paired primary cancerous and ANTs, confirmation: 20 HSCC specimens and ANTs, 138 HSCC patients

Cancer subtype

Laryngeal SCC

Hypopharyngeal SCC

Gene

RP11-169D4.1

AB209630

Table 2 (continued)

Samples

Assessed cell line

Association with patient outcome

Functions

S. Ghafouri-Fard, et al.

identified 728 lncRNAs with differential expression between these two sets of samples. Notably, expression patterns of 55 lncRNAs were associated with survival of patients (Nohata et al., 2016). Through analyzing RNA-sequencing data of 422 HNSCC patients, Zou et al. have identified 276 intergenic lncRNAs whose expression profile predicted overall patients' survival (Zou et al., 2016). 5. Diagnostic value of lncRNAs in HNSCC Dysregulation of expression of lncRNAs in HNSCC tissues and peripheral blood potentiates them as diagnostic biomarkers in this type of cancer. Yao et al. have assessed overall lncRNA signature in both tumoral and peripheral blood samples of HNSCC patients using microarray and RNA-seq methods. They demonstrated differential expression of 432 lncRNAs in peripheral blood samples and 333 lncRNAs in tissues samples. Among these lncRNAs, HOXA11-AS, LINC00964 and MALAT1 showed significant up-regulation in the plasma of HNSCC patients compared with in healthy subjects with combined areas under the curve values of 0.925 and 0.839 in training and validation sets, respectively. So, their study suggested these three lncRNAs as putative diagnostic markers for HNSCC (Yao et al., 2018). Notably, only 12 lncRNAs were common between tumoral tissues and plasma samples (Yao et al., 2018). This finding is in accordance with a previous study which showed expression of HOTAIR, HULC, MALAT1, MEG-3, NEAT-1 and UCA1 in tissues from patients with oral SCC, but only two of these lncRNAs were detectable in saliva samples (Tang et al., 2013). 6. Putative therapeutic implications Animal studies have verified the role of several lncRNAs in the pathogenesis of HNSCC. Knock-down experiments have also shown decreased tumorigenic potential of cancer cell lines after silencing certain lncRNAs. For instance, Wang et al. have made a subcutaneously implanted tumor model in the nude mice after silencing MIR31HG in SCC cells. They reported decreased tumor volume and weight in the lncRNA-silenced group compared with controls (Wang et al., 2018b). Other knock-down assays verified potential use of siRNA-mediated lncRNA silencing in animal models. Experiments in a murine model of metastasis have shown the effects of MALAT1 knock down in decreasing number and size of tumor nodules. Moreover, suppression of MALAT1 using antisense oligonucleotides led to a significant decrease in metastasis (Sun and Ma, 2019). On the other hand, forced over-expression of tumor suppressor lncRNAs have resulted in decreased malignant behavior of implanted cancer cells in animal models (Ma et al., 2019). However, such experiments have not been validated in clinical settings. 7. Discussion Recent methods of lncRNA profiling have easily detected expression of lncRNAs in body fluids and tissues using simple molecular methods (Zhan et al., 2018; Yan et al., 2017). Such advances facilitate application of lncRNAs as biomarkers for early diagnosis of HNSCC or followup of patients after surgical removal of tumoral tissues or chemoradiation. Mechanistically, lncRNAs influence important signaling pathways and cellular processes such as cell proliferation, apoptosis and cell cycle progression. In addition to these processes, certain lncRNAs such as lnc-IL17RA-11 contribute in DNA repair mechanisms (Song et al., 2019). Many of dysregulated lncRNAs in HNSCC are among those with acknowledged roles in other types of cancers. Although this finding further approves their contribution in tumorigenesis, it complicates design of specific diagnostic panels for HNSCC. The most probable mechanism of lncRNA function in carcinogenesis is ceRNA role. A recent study has assessed lncRNA–mRNA interactions according to shared miRNAs between lncRNA–miRNA intersections and miRNA–mRNA interactions. Based on their results, ‘Chemokine signaling pathway’, ‘Focal adhesion’, ‘MAPK signaling pathway’, and 11

Experimental and Molecular Pathology 112 (2020) 104353

S. Ghafouri-Fard, et al.

‘Regulation of actin cytoskeleton’ have been among pathways controlled by competitive lncRNAs in oral SCC (Yang et al., 2019c). Such interactions with critical pathways in carcinogenesis potentiate lncRNAs as appropriate therapeutic targets for HNSCC. Based on the fundamental role of HPV in the carcinogenesis process of HNSCC, it is expected that oncoproteins of this virus represent targets of lncRNAs. However, only few studies have addressed association between lncRNAs profile and HPV load/ positivity. So, a future perspective of this research area is clarification of the functional interaction between lncRNAs and viral oncoproteins. The diagnostic power of lncRNAs in HNSCC has been assessed in few studies. The most promising results have been emerged for combination of HOXA11-AS, LINC00964 and MALAT1. Inclusion of other lncRNAs in such panels might increase sensitivity and specificity of these panels and suitability for diagnosis in a wider range of patients. Future studies are needed for this purpose. It is worth mentioning that SCC tumors from different anatomical sites might have distinct expression patterns of lncRNAs (Zou et al., 2015). Such finding complicates design of diagnostic panels and development of targeted therapeutic options. Meanwhile, it necessitates personalized approaches for both mentioned fields. Another forthcoming area of research is contribution of lncRNAs in determination of response of HNSCC patients to therapeutic options. MPRL, UCA1, KCNQ1OT1, HOTAIR and HOXA11-AS have been among lncRNAs whose expression levels might determine response of patients to cisplatin (Zhang et al., 2018b; Fang et al., 2017; Tian et al., 2019; Wang et al., 2019b; Wang et al., 2018c). However, based on the role of lncRNAs in the determination of several aspects of cancer cells fate, this list is expected to include several other lncRNAs as well. Differential expression of lncRNAs between radioresistant and parental nasopharyngeal carcinoma cell lines also implies contribution of these transcripts in conferring radioresistance (Zou et al., 2016). Consistent with the proposed role of lncRNAs in determination of response to therapies, cell line studies have shown alteration of lncRNA expression after irradiation or chemoexposure (Guglas et al., 2018). Taken together, lncRNAs are involved in the regulation of expression of several molecules and signaling pathways which participate in HNSCC. This kind of involvement potentiates them as biomarkers and therapeutic targets. This field is evolving, so it is expected that future therapeutic options would be designed to target lncRNAs-associated pathways.

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Declaration of Competing Interest The authors declare they have nothing to report. Acknowledgment This study was financially supported by Shahid Beheshti University of Medical Sciences. References Arunkumar, G., Deva Magendhra Rao, A.K., Manikandan, M., Arun, K., Vinothkumar, V., Revathidevi, S., Rajkumar, K.S., Rajaraman, R., Munirajan, A.K., 2017a. Expression profiling of long non-coding RNA identifies linc-RoR as a prognostic biomarker in oral cancer. Tumour Biol. 39 1010428317698366. Arunkumar, G., Murugan, A.K., Prasanna Srinivasa Rao, H., Subbiah, S., Rajaraman, R., Munirajan, A.K., 2017b. Long non-coding RNA CCAT1 is overexpressed in oral squamous cell carcinomas and predicts poor prognosis. Biomed. Rep. 6, 455–462. Chang, S.M., Hu, W.W., 2017. Long non-coding RNA MALAT1 promotes oral squamous cell carcinoma development via microRNA-125b/STAT3 axis. In: J Cell Physiol. Chen, F., Qi, S., Zhang, X., Wu, J., Yang, X., Wang, R., 2019a. lncRNA PLAC2 activated by H3K27 acetylation promotes cell proliferation and invasion via the activation of Wnt/ betacatenin pathway in oral squamous cell carcinoma. Int. J. Oncol. 54, 1183–1194. Chen, Y., Guo, Y., Yan, W., 2019b. lncRNA RP5-916L7.2 correlates with advanced tumor stage, and promotes cells proliferation while inhibits cells apoptosis through targeting miR-328 and miR-939 in tongue squamous cell carcinoma. Clin. Biochem. 67, 24–32.

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